Why London is the home of loss-making NHS hospital trusts

A decreasing number of NHS hospitals are run by plain old NHS trusts, simply because an increasing number are successfully applying to be foundation trusts – which requires evidence of financial stability. Those which have not yet become foundations are regulated by the Audit Commission, which therefore tends to oversee those on a weaker financial footing. It recently reported on the trusts still in its care, and found that 10 of the non-foundations were in financial deficit in 2011-12, totalling £177m. (Trusts have a legal duty not to make a loss, although this applies over three-year periods.) Continue reading “Why London is the home of loss-making NHS hospital trusts”

A healthcare systems medal table: USA wins inefficiency gold

It is tricky to compare different countries’ healthcare systems, as well as politically explosive. The World Health Organisation (WHO) last tried in 2000, concluding that France had the best in the world.

The following attempt is very simplistic, but also very easy to understand. It uses WHO data to calculate how much each country spends on each year of average lifespan beyond 45, per year per person in purchasing power parity-adjusted US dollars. 45 is chosen simply because it is slightly below the lowest average longevity, Malawi, of 47 years. In the map below, the darker the shade of green, the more expensive each extra year of life: the figure for each country will pop up when the cursor is over it. Continue reading “A healthcare systems medal table: USA wins inefficiency gold”

Removing the United Kingdom from Google Fusion Tables

In late May, most of the maps on this site (plus those I have produced for Guardian Healthcare Network) switched from beautiful satellite images (below left – a section of my map on male life expectancy) to rather less interesting atlas-style maps (below right). They also gained a big ‘United Kingdom’ label over the Scottish borders, presumably to the chagrin of the SNP. But it turns out this and other labels can be removed – with some work. Continue reading “Removing the United Kingdom from Google Fusion Tables”

NHS clinical commissioning groups drop odd names, adopt boring ones

The NHS Commissioning Board last week published a new list of clinical commissioning groups (CCGs), which will take over from primary care trusts in April 2013 in running primary care in England. As I was remapping the list for Guardian Healthcare Network (the map is also below), three things were striking about the new list: it’s shorter (212 ’emerging’ CCGs as opposed to 268 before); there are now far fewer very small CCGs; and the rich profusion of odd names in previous lists has been stamped out. Continue reading “NHS clinical commissioning groups drop odd names, adopt boring ones”

UK male life expectancy mapped, from Glasgow to Kensington

The data used in the Guardian article quoted from below, on how life expectancy varies across the country, deserved mapping. I’ve focused on UK male life expectancy, which according to the Office of National Statistics varies by 13.3 years between Glasgow (71.1 years) and Kensington and Chelsea (84.4 years).

Map removed as Google Fusion Tables no longer works.

Red pointers represent male life expectancy of less than 75; pink from 75 up to 77; yellow from 77 up to 79; green from 79 up to 81; and blue 81 and over.

If you click on a pointer, you can find out how much longer men in that area can expect to live than Glaswegians, and how much less than residents of Kensington and Chelsea (and tweet it if you wish). Female life expectancy is also included. Continue reading “UK male life expectancy mapped, from Glasgow to Kensington”